Document Detail


The cultural and community-level acceptance of antiretroviral therapy (ART) among traditional healers in Eastern Cape, South Africa.
MedLine Citation:
PMID:  18923887     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The HIV/AIDS epidemic has profoundly impacted South Africa's healthcare system, greatly hampering its ability to scale-up the provision of antiretroviral therapy (ART). While one way to provide comprehensive care and prevention in sub-Saharan African countries has been through collaboration with traditional healers, long-term support specifically for ART has been low within this population. An exploratory, qualitative research project was conducted among 25 self-identified traditional healers between June and August of 2006 in the Lukhanji District of South Africa. By obtaining the opinions of traditional healers currently interested in biomedical approaches to HIV/AIDS care and prevention, this formative investigation identified a range of motivational factors that were believed to promote a deeper acceptance of and support for ART. These factors included cultural consistencies between traditional and biomedical medicine, education, as well as legal and financial incentives to collaborate. Through an incorporation of these factors into future HIV/AIDS treatment programs, South Africa and other sub-Saharan countries may dramatically strengthen their ability to provide ART in resource-poor settings.
Authors:
Justin M Shuster; Claire E Sterk; Paula M Frew; Carlos del Rio
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Publication Detail:
Type:  Journal Article; Research Support, N.I.H., Extramural; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Journal of community health     Volume:  34     ISSN:  0094-5145     ISO Abbreviation:  J Community Health     Publication Date:  2009 Feb 
Date Detail:
Created Date:  2009-01-13     Completed Date:  2009-03-30     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  7600747     Medline TA:  J Community Health     Country:  United States    
Other Details:
Languages:  eng     Pagination:  16-22     Citation Subset:  IM    
Affiliation:
The Hope Clinic of the Emory Vaccine Center, Decatur, GA 30030, USA. jshuste@sph.emory.edu
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MeSH Terms
Descriptor/Qualifier:
Acquired Immunodeficiency Syndrome / drug therapy,  etiology
Adult
Antiretroviral Therapy, Highly Active / utilization*
Attitude of Health Personnel*
Attitude to Health / ethnology*
Community Medicine
Cooperative Behavior
Culture
Educational Status
Female
HIV Infections / drug therapy*,  etiology
Humans
Knowledge
Male
Medicine, African Traditional*
Middle Aged
Motivation
Professional Competence*
Qualitative Research
Rural Health
South Africa
Witchcraft / psychology
Young Adult
Grant Support
ID/Acronym/Agency:
P30 AI050409/AI/NIAID NIH HHS; U01 AI069418/AI/NIAID NIH HHS

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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